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All Journal Dental Journal (Majalah Kedokteran Gigi)
Margaretha Suharsini
Department Of Pediatric Dentistry, Faculty Of Dentistry, Universitas Indonesia, Jakarta 10430
Dentistry

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The effect of mastication muscular tone on facial size in patients with Down syndrome Margaretha Suharsini; Josef Glinka SVD; Soekotjo Djokosalamoen
Dental Journal (Majalah Kedokteran Gigi) Vol. 39 No. 4 (2006): December 2006
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (109.024 KB) | DOI: 10.20473/j.djmkg.v39.i4.p161-164

Abstract

Muscular hypotonia is one of the clinical signs in patients with Down syndrome. As a characteristic of patients with Down syndrome, hypotonia is clearly evident in face expression and oral dysfunction. Dentocraniofacial growth abnormalities in patients with Down syndrome may be influenced by genetic and environmental factors. Stomatognathic system musculature as an environmental factor (factor outside the bone) can affect dentocraniofacial growth by orofacial muscles activities when chewing, swallowing, breathing, and speaking. Oral dysfunctions commonly seen in patients with Down syndrome are open mouth, protruding tongue posture, difficulties when chewing, swallowing, and speaking, drooling, and mouth breathing. The purpose of this study was to observe how the mastication muscular tone affecting the facial size of Down syndrome patient. Twenty five of 14–18 years old children with Down syndrome were diagnosed by clinical characteristic and cytogenetic examination. Mastication muscular tone was described by masseter and temporalis muscle synergy and oral function, whereas the facial size consisted of facial size of lateral, anteroposterior and vertical growth. The result of regression test revealed that the degree of mastication muscular tone has a significant effect on facial size of the anteroposterior growth and facial size of vertical growth, but did not significantly influence the facial size of lateral growth.
Dental care for children with autism spectrum disorder Amrita Widyagarini; Margaretha Suharsini
Dental Journal (Majalah Kedokteran Gigi) Vol. 50 No. 3 (2017): September 2017
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1002.337 KB) | DOI: 10.20473/j.djmkg.v50.i3.p160-165

Abstract

Background: Providing dental treatment for children with autism spectrum disorder (ASD) represents a challenge for dentists. In the dental care of such children, the treatment plans implemented are usually determined by several factors, including: the type of autism spectrum disorder, the degree of patient cooperation, dentist/patient communication, the required treatment, self-care skills and parental/dentist support. Purpose: The purpose of this case report was to report the dental care delivered in the cases of two pediatric patients with ASD. Case 1: A 10.7 year-old boy with a nonverbal form of ASD who was experiencing recurrent pain in his lower left posterior tooth and also presented a blackened tooth. Case 2: A 9.6 year-old boy with a nonverbal form of ASD suffering from numerous painful cavities. Case management 1: On the day of the first visit, the boy was the subject of several behavioral observations. During the day of the second visit, he underwent a brief intraoral examination at a dental unit in order to arrive at a temporary diagnosis before appropriate was decided upon treatment in consultation with his parents. The implemented treatment plans comprised dental extraction and preventive restoration under general anesthesia. Case management 2: On the first visit, the boy underwent behavioral observations followed by early intraoral examination involving physical restraint approach. During the second visit, several treatment plans such as: general anesthesia, tooth extraction, restoration, and pulp-capping treatment were formulated. Conclusion: It can be concluded that general anesthesia was considered an appropriate dental treatment plan since the two patients in question were extremely co-operative during the necessary procedures. In other words, pediatric dental care treatment plans in cases of ASD should be determined by clearly-defined criteria, specifically the benefits and risks of the treatment plans for the safety of both patient and dental care team.
The correlation of head posture (NSL/OPT angle) with maxilla and mandible relation (ANB angle) by cephalometric analysis (Review of Deutro Malay children aged 10–12 years in Jakarta) Putri, Annisa Galuh Rahmawati Hendra; Budiardjo, Sarworini B.; Suharsini, Margaretha
Dental Journal (Majalah Kedokteran Gigi) Vol. 58 No. 3 (2025): September
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v58.i3.p262-266

Abstract

Background: Proper head posture involves an upright head with minimal muscle work and maximum mechanical efficiency in the central nervous system. Muscular imbalance in the cervical spine and stomatognathic system affects head posture and maxillary–mandibular malrelation. Age 10–12 years is the golden period for orthodontic treatment, for which an assessment of head posture needs to be considered. The nasion-sella line/odontoid process tangent (NSL/OPT) angle represents flexion–extension of the head posture; the A point, Nasion, B point (ANB) angle is used to determine the maxillary–mandibular relationship. No research has ever been conducted on the relationship between the NSL/OPT and ANB angles in children of the Deutro Malay race aged between 10 and 12 years. Purpose: This study aims to analyze the relationship between the NSL/OPT and ANB angles in children of the Deutro Malay race aged between 10 and 12 years. Methods: This research was conducted at the Pediatric Dental and Radiology Clinic of Universitas Indonesia Dental Hospital with 33 respondents aged between 10 and 12 years, taking the inclusion and exclusion criteria into account. Lateral cephalometric radiographs were taken, and the NSL/OPT and ANB angles were determined using ImageJ software. Data analysis was conducted using the Pearson correlation test. Results: The mean values for the NSL/OPT and ANB angles are 97.9 and 3.15, respectively. The correlation test result (r = 0.067; p-value = 0.713) indicates an immensely weak relationship between the NSL/OPT and ANB angles and is not significant. Conclusion: The results demonstrated that there was an exceedingly weak linear relationship; it can be concluded that the angle of head posture cannot be correlated to the ANB angle.
Co-Authors Amrita Widyagarini Josef Glinka SVD Putri, Annisa Galuh Rahmawati Hendra Sarworini B Budiardjo Soekotjo Djokosalamoen